Samantha S Fung

Primary specialty

PharmacistTaxonomy code 183500000X

License

043452 Issued in NY

Practice address

784 61St St
Brooklyn, NY 11220-4212

Phone

(718) 686-7288

Fax

(718) 686-0258

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kinetic Pharmacy Inc.

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1598877060
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1497979876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 61ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204212",
            "telephone_number": "718-686-7288",
            "fax_number": "718-686-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 61ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204212",
            "telephone_number": "718-686-7288",
            "fax_number": "718-686-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1652 80th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112141622",
            "country_code": "US",
            "telephone_number": "646-209-3575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNG",
        "first_name": "SAMANTHA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Fung
• Mary Fung, M.A., CCC-SLP, TSSLD
• Minna Fung, PHARM.D.
• Ricky Fung, FNP
• Riley Paklok Fung
• Shauna Fung, DDS
• Steffanie Marie Fung
• Tiffany Fung, DPT
• Vivian Fung
• Merisa Oriana Fungkhee, FNP

• Pharmacist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.